Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Guam (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Dept. Of Public Health Pharmacy-nrchc (NPI 1760532394)

Field	Value
Entity Type	Organization
Organization	Dept. Of Public Health Pharmacy-nrchc
Address	520 W Santa Monica Ave
City	Dededo
State	GU
ZIP	96929
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicaid	$4.4K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports only Medicaid revenue, with total Medicaid revenue of $4.4K. In practical terms the entity is effectively single‑payer from a claims perspective, with all billed activity appearing in Medicaid rather than Medicare.

Revenue is highly concentrated in a small set of supply codes: the top three Medicaid codes account for 100.0% of this provider's Medicaid revenue, led by A4253 at 68.8%, followed by A4211 at 28.0% and A4259 at 3.2%. This concentration means a handful of supply reimbursements drive the entire observed Medicaid billing profile.

The mix of top codes (A4253 — blood glucose test or reagent strips, A4211 — supplies for self‑administered injections, and A4259 — lancets) indicates the operation functions primarily as a pharmacy/supply outlet within a public health clinic setting, focused on diabetes self‑care and injectable supply distribution rather than office-based procedural care. These are supply‑oriented reimbursements rather than evaluation-and-management or procedure codes, consistent with the provider taxonomy as a State or Local Public Health Clinic/Center.

On a state competitive basis this provider is a modest participant for its top codes: A4253 ranks #5 of 11 providers in-state (60th percentile, characterized in the data as "typical, unremarkable volume"), A4211 ranks #5 of 10 (56th percentile, "typical, unremarkable volume"), and A4259 ranks #5 of 9 (50th percentile, "typical, unremarkable volume"). None of these placements indicate dominance or outlier status within the state; volumes are around the middle of peer distributions.

Absolute claim counts and average payments underline the small scale of billing activity: A4253 shows 187 claims at $16 avg paid/claim generating $3K revenue, A4211 shows 122 claims at $10 avg paid/claim generating $1.2K revenue, and A4259 shows 139 claims at $1 avg paid/claim generating $139 revenue. Combined totals align with the modest $4.4K Medicaid revenue and suggest a limited billing footprint rather than large‑volume supply distribution.

Because the top three supply codes fully explain Medicaid revenue, the provider’s financial exposure is concentrated in Medicaid reimbursement policies for diabetes and injectable supplies; changes to coverage or reimbursement for those specific codes would have an outsized effect on this profile. The absence of Medicare billing removes diversification into the Medicare payer stream.

The provider has a long tenure in the NPI registry (NPI enumerated 2007-01-12, ~19 years ago), indicating an established presence despite the limited billing scale observed. The combination of long registration and low current Medicaid revenue may reflect a public health posture with limited fee‑for‑service billing rather than a commercial outpatient revenue model.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	190	$20	$3K
A4211	Supplies for self-administered injections	120	$10	$1.2K
A4259	Lancets, per box of 100	140	$1	$140

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

Claims Volume vs. Guam Distribution

Dept. Of Public Health Pharmacy-nrchc — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	5	10	130	$20	$5.8K
A4211	Supplies for self-administered injections	5	10	100	$10	$2.9K
A4259	Lancets, per box of 100	5	10	140	$1	$530

Nearby Providers

Other providers in the same ZIP code as Dept. Of Public Health Pharmacy-nrchc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Dept. Of Public Health Pharmacy-nrchc — Billing Profile & Reimbursement Data

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Dept. Of Public Health Pharmacy-nrchc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References